DAVID LEE WONNELL Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****07

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

LEE

Last Name

WONNELL

Business Name

DAVID LEE WONNELL

Original Issue Date

03/16/2001

Effective Date

03/16/2001

Expiration Date

03/01/2004

City

MILFORD

State

Zip

60953

County

IROQUOIS

Ever Disciplined

LastModifiedDate

09/26/2006